ROBERT J BORN DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003180

License Status

INACTIVE

Business

First Name

ROBERT J

Last Name

BORN

Suffix

DPM

Business Name

ROBERT J BORN DPM

Original Issue Date

06/23/1980

Effective Date

12/13/2016

Expiration Date

01/31/2019

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/14/2018